Posts Tagged ‘babies sleep’

How Long to Cry It Out (CIO)

Tuesday, November 3rd, 2009

Cry It OutThis topic “How long to cry it out?” has come up a few times in the last few weeks in one way or another, so I thought I’d talk about it this week. I always preface any discussion about cry it out by making sure that everyone understands that I’m not a “Cry It Out Pusher” and I’m very much NOT an extremist or a hard-core “sleep trainer”. I try to be realistic and just know that all babies are different and all family structures are different and what works for one won’t work for everyone. I even debated Pantley about this very topic, because while I think she has some good ideas, they simply will NOT work for all challenging baby types…at least in time before you go crazy from sleep exhaustion. I also don’t recommend cry it out for long-term co-sleepers, either.

If you are adamantly against cry it out, please do NOT do it! It probably won’t work and you’ll just feel bad about it. At all times in my sleep consultations, I work with parents on helping their baby sleep with as few tears as possible. Why? Because who wants their baby to cry? We all do what we can to limit our baby’s tears and as your sleep consultant, I understand that. My son’s sleep struggles are still very near and dear to my heart and I pretty much relive them every day in every consultation, so I very much remember where you probably are right now.

So, how long do you cry it out if you do choose that path?

First, make sure your baby is at an appropriate age for cry it out, he is no longer swaddled, and if you are feeding baby on a schedule that you have set a realistic schedule. One thing that I can’t emphasize enough is that my philosophy is that some parents might use cry it out to fix sleep problems, but please don’t make your baby go hungry if she still needs night feedings. One thing that really does make my skin crawl is hearing about letting a two month old cry throughout the night to avoid two feedings, which is hardly a “sleep problem.”

Another reason I recommend exhausting all other methods before trying cry it out is that you must be 100% committed to cry it out for it to really work. So, typically, I recommend that you feel like you’ve “tried everything” first. If you let your baby cry for a set length of time and then you “give in”, you have basically set a precedent and he will cry that long (or longer) next time (if there is a next time). Many babies respond well to non-crying methods (highly depends on your baby’s temperament) and only a small percentage of my clients really have to go full blown cry it out, so make sure you’ve truly given it your all on the other methods.

Once you 100% commit to cry it out, there really isn’t a length of time that you really stop, when you’re working on nights (though you want to limit nap time crying). The goal is for your baby to fall asleep without said sleep association and every parent will need to decide what is “too long.” I recommend deciding that before you start, if possible. Having a plan (do you visit or not, how long between visits, do you stay in the room, etc.) is of utmost importance so everyone is on the same page and will stick to it. Once you decide to stop said crutch, it can’t really be an option to change your mind, otherwise, you go backwards and might even make things worse.

Many people against cry it out will paint a picture that cry it out is cruel because a baby can’t communicate what she needs. This is true, to an extent, in that you can’t ignore all your baby’s cries and I would never recommend that. That’s irresponsible parenting. My argument is that if you give your baby a pacifier ten times per night and that’s all she “needs” then you know why she’s crying. Does that mean you give your baby everything just because she cries? Not to me. If it had, my son would not have sat in a car seat for his first year of life. Your baby only thinks she needs a pacifier to sleep because that’s all she’s known. It doesn’t mean she can’t learn a new way to sleep. Enter…the parent.

Down the line, after initial “sleep training” is over, does this mean you never go in to your baby at night? ABSOLUTELY NOT!! We all do pretty crazy things to get our baby to sleep, but when you’re ready to make a change, it’s important to commit to your plan of action. Whether you succeed in finding a no crying sleep method or try cry-it-out, babies are destined to change. Cry it out is NOT a cure-all and it doesn’t mean your baby won’t need you during an illness, when she’s getting new teeth, growth spurt, etc., so it doesn’t mean never go to your baby or use your instincts. It also doesn’t mean that cry it out “didn’t work.” because your baby needs you at night for something.

In my opinion, there is a right and wrong way to approach “sleep training”. If you’re doing cry-it-out, it might take you a few nights or a couple of weeks, but please expect things to pop up and change on you, because they will. Just remember, that cry it out won’t change your baby’s personality, there is no proof that cry it out is harmful, not even by Harvard, it’s not always clear when you’re done sleep training, and being a mom is an every day challenge.

How many days did cry it out take for you and your family?

 

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Will Cry-It-Out Change Your Baby / Child’s Personality?

Tuesday, July 8th, 2008

Cry It Out Personality
I happened upon an article where a woman (and husband) was against cry-it-out and specifically, The Ferber Method, but ended up doing it anyway, because it was what worked. In that article, Confessions of a Ferberizer, she said that, in the end, her son stopped wanting to be rocked or cuddle. She did not seem to regret doing cry-it-out, I don’t think, but reading the article reminded me that many of us wonder whether doing cry-it-out will change our child’s personality, so I thought I’d reflect on that today.

Will Cry-It-Out Change Your Child’s Personality?

In some ways, it might, and some ways it won’t and of course, all babies are different. And, if your child’s personality changes, it could be for the better. I do stand by the fact that I do not choose one method of sleep training over another. I truly believe that everyone must find what works for their family. For help finding the right solution for your family, check out my sleep training series. What works for your family will take into account your baby’s temperament, your temperament, your philosophy and both of your personalities.

Let’s look at a baby who is sensitive to being overtired and is chronically sleep-deprived because he is waking up every 1-2 hours all night long and only napping in 20 minute stretches. He might be very whiny and clingy all day long because HE IS TIRED! Let’s assume that mom is adamantly against crying methods, but has not yet found a no-cry method that has worked for her and her baby. Now, let’s assume she reluctantly uses The Ferber Method and her son begins to get enough sleep and is well-rested. It’s possible likely that her once fussy and clingy little boy is now happy!! This would be a “personality change” for the better. It is very common for a baby who is sleep deprived and fussy, to start being a very happy baby after he starts getting more rest, regardless of the sleep training method you choose.

So, what about the other way around? You have a baby that actually takes his sleep deprivation in stride and is, overall, a fairly happy baby. He just doesn’t sleep much. I don’t have to remind you that sleep problems can lead to obesity, depression, behavior problems, or that there are a variety of other reasons to get your child enough sleep. What might cry-it-out do to this baby?

Depending on his temperament, it can go one of two ways. The first way is that he is so easy-going that he cries for 5 minutes and sleeps all night like some books want you to believe will happen to your child. I do know that there ARE really babies like this! It isn’t a myth. My eldest son just wasn’t that way, that’s for sure! I don’t think anyone would say that 5 minutes of crying would do harm to any child. After all, you can be in the bathroom for 5 minutes.

The second type of baby does not have such an easy-going temperament and might cry, let’s say an hour at bedtime. Will this baby stop being as happy during the day? True, sometimes there are a few days that babies are clingier during the day after cry-it-out. This is due simply to the change in routine and adjustment to the new way to fall asleep and for the really sleep-deprived, they begin to catch up on their much needed sleep and therefore, are more tired during the day. It generally goes away after just a few days, if it was there at all. So, will an hour of crying make this particular baby damaged for the rest of his life? I guess we all need to decide for ourselves whether this is true, but I personally don’t believe it.

Now, back to the article. When I sleep-trained my eldest son, we did end up using a crying method, in the end, and I never regretted it. I actually did not notice any change in personality whatsoever. Not in a good or bad way. He was always pretty happy, when he wasn’t tired and he wasn’t clingier during the day, either. The only thing I saw was that he became more rested so I guess you can say he was happier for more of the day, since he wasn’t so tired. He never once seemed to “remember” the previous night’s bedtime. In fact, once he became a toddler and could talk and occasionally would have a tantrum right before bed (usually because he was overtired as he is still sensitive to that), crying himself to sleep once again, the next morning he was always bright and chipper and never even seemed to remember what happened. And, for his entire first 2 years of life, until we transitioned him into a room with no rocker, we rocked EVERY night. We cuddled EVERY night (and still do!). I nursed him EVERY night until we weaned at 13 months. Nothing changed but the fact he could fall asleep without me and continue to sleep all night. I, of course, am not saying that the woman in the article was making it up. I’m only telling my story to show that all babies are different and it’s possible her baby’s personality didn’t really change. Maybe he never really did like to rock to sleep but didn’t know how else to go to sleep. I don’t know.

As I’ve said many times before, when we were pregnant with our little ones, we didn’t decide one day “You know what. I’m going to let him cry so he can sleep, even if it takes an hour.” before he was even born. No parent wants to do that! But, unfortunately, for some of us, it truly is what works for our child’s temperament and personality. My second son started going to sleep on his own at bedtime without cry-it-out. All babies are indeed different, even within the same family.

Children are very resilient and our relationships with them are very complex. There have been no studies that show cry-it-out has long-lasting effects on our children. There is not ONE thing you can do (or not do) for your child and make THAT be what makes your relationship positive or negative (apart from the purely heinous crimes like child molestation, of course!). There is not ONE thing that will violate his trust in you. If that was the case, the ONE time you didn’t catch him when he was learning to walk and bumped his head would cause him not to trust you anymore. The ONE time you were late changing his diaper and he was cold and crying and you didn’t know would cause harm to him.

It is all the love, affection, and care you give him all day, day-in and day-out, that builds the relationship between mother/father and child. THAT is what is important. Just as your child might cry and scream he can’t put a fork in an outlet or eat a cookie before dinner, he does not really know what is best for himself and he trusts you to do what’s best for him. You are not making him cry, you are letting him cry and it’s an important distinction as he grows into a toddler and young child. Just remember, sleep deprivation is no better for him as it is for you!

One other thing to keep in mind is not to project your feelings onto your child. Your guilt might make you feel that she feels abandoned, when in fact the true reason she could be crying is that she is tired and simply would rather be asleep and is upset that you aren’t replacing that pacifier 10 times per night anymore or rocking him to sleep or whatever other sleep association you typically provide for her.

Just something to think about if the only thing standing in your way to a better night’s rest is your worry that your child’s personality will change. You may be interested in reading more about how I define cry-it-out and what it is and isn’t. It means something different to everyone and I am, in no way, recommending that you allow your baby to cry for hours on-end for anything and everything.

Read more about the lack of evidence that cry-it-out causes permanent damage, from a co-sleeper, in fact.

So, what do you think?

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10 Tips to Help Your Newborn Baby Sleep

Thursday, June 19th, 2008



When you bring your baby home no one tells you that “sleep like a baby” only lasts a short time. This article will give you 10 tips to help your newborn sleep better.

Disclaimer: Before I get to the 10 tips to help your newborn sleep, I thought I should note that it can be dangerous for a new newborn baby (just a few weeks old) to sleep all night. They really do need to eat at least every 3 hours in those early days so they can grow well and thrive.

It is also safest to place baby on his back to sleep, to guard against SIDS. You may be interested in other ways to lower SIDS risks.

There, now that I got that out of the way.

Newborn Baby Sleep

1. Short Wake-time

The first week or so, your newborn baby will most likely hardly be awake, but after the first week or two, the #1 key with your newborn is to keep wake times very short, at first. You should soothe your baby for sleep after just 1-2 hours of wake time TOPS. You should look for signs that she is getting sleepy and start soothing her. If you wait until she is fussy, cranky or crying, you are actually too late!

An overtired baby will have more trouble settling down and going to sleep and staying asleep. My boys always fell asleep easiest when I caught them before they started to fuss and cry. Some babies are much more sensitive to being overtired than others, so while others will barely notice their child get sleepy before she drifts off to sleep, others will begin to realize just how in tune with their baby they need to be!

By wake time, I mean to include feedings and diaper changes and disregard how long her last nap was. For example, little Suzie starts to nap at 8am and sleeps for 3 hours. She eats at 11am and you change her diaper. Now, it’s 11:30 and you decide to give her a bath. At 11:45, she is fussy. She is already overtired and she needs a nap! In the beginning, they can’t go long before getting tired and overstimulated.

2. Swaddle

To help mimic the feeling of the womb, it helps to swaddle your newborn baby. This basically means to wrap him up in a blanket like a little burrito. You may have seen them do it at the hospital. This helps him feel safe and secure and also helps him stay asleep during any moro reflex or startle reflex moments. It is said that those reflexes are similar to how we have the feeling we are falling while falling asleep. It can take up to 4 or 5 months for your baby to stop the startling.

I recommend The Miracle Blanket for swaddling. It is a little pricey, but so easy to use and so hard for your baby to break out of! So worth it, to me! If you can’t or don’t want to spend that much, try this SwaddleMe Wrap

3. Days bright / Nights dark

Although you might be tempted to keep things quiet and darker for your newborn to nap well, it might prolong the day/night confusion that almost all newborns will have. Day/Night confusion can last up to 6 weeks. When she was in mom’s belly, mom’s movements lulled her to sleep and when mom was resting, she’d have a party. When she comes out, she doesn’t know she should act in the complete opposite fashion.

So, keep days bright and upbeat and nights, dark and boring, and it will help your newborn sort out her days and nights faster. This might be more than you want to know, but light is what cues our eyes to tell us to stay awake or whether it’s time to sleep.

4. Limit naps

If he is taking longer to sort out days and nights (or you are having a very rough time keeping up with him being up all night), you can further speed up the process by limiting naps to no longer than 3 hours during the day.

5. Post-feeding routine

To help your newborn baby sort out day and night sleeping even more, you may want to develop a play routine after she eats during the day. Keep her awake 30 minutes after feeding by playing, singing, bathing, etc. Again, the light stimulating her eyes will help her sort out that daylight is for being awake at least a little bit. Many people recommend the eat-play-sleep routine for newborns. This is the primary message of the popular book, On Becoming Baby Wise. You might want to review my explanation as to why I do not recommend this book, though.

6. Co-sleeping

Sometimes it helps to have your newborn in the room with you for quick access for middle-of-the-night feedings and diaper changes. This also can help give him more comfort being close by as he will be able to hear and smell you. For safety reasons, you should use a Co-Sleeper , sleep positioner, or bassinette, rather than have baby in bed with you. I used the second one with my second son and then I moved it into his crib for a seamless transition to his crib. We were able to remove it a few weeks later.

7. Angle the mattress

For babies who spit up a lot or have reflux, it helps to angle the mattress when he sleeps, so baby is not flat on his back. You’ll want to angle the mattress so his feet are lower than his head, so his stomach contents can stay put. To angle the mattress, you can simply change the support platform level on one side on most cribs. If that is not feasible, you can put blankets and pillow under the mattress. Please note that the mattress should still remain flat at all times, just at an incline. You must make sure that you do not tilt the mattress so much that your baby slides down the bed, either. I strongly recommend that you first check with a knowledgeable health care provider to make sure that what you do is best and safest for your child. I only wanted to highlight the idea.

8. White Noise

White noise is made up of the sounds like a fan whirring, vacuum cleaner, hair-dryer, etc. It helps a newborn sleep because inside mom’s womb was all white noise. The sound of her blood flow, heart beating, etc. That’s why he finds comfort when you may run the vacuum cleaner. My son used to love when I turned on the blow-dryer. Of course, you can’t run the vacuum all day, so I recommend getting a White Noise machine, sound machine or a White Noise CD. I have two of the second one in each boy’s room so they don’t wake each other and they work like a dream!

9. Wear baby

For particularly fussy babies or just for parent’s convenience and snuggling, it helps to “wear” baby using a sling. They get very folded up in a sling, but again, it mimics the womb and babies love it! I didn’t use a sling with my first, but used a BabyBjorn Baby Carrier and loved it! It really helped me walk off the baby weight, which was a bonus. But, with my second, I did use this sling (there are many others!) and my son would fall asleep in less than 5 minutes until he grew out of it. This helped tremendously when I needed to cook dinner and do stuff with my toddler, at the time. I have also heard good things about the Moby Wrap and the Maya Wrap.

Here are ten reasons to wear your baby.

10. Swing

As I said earlier, mom’s movements lulled baby to sleep while in the womb, so I also recommend trying a swing, but don’t be surprised if your newborn only likes it at high speeds. Our family teased us we were making our first son “drunk”, but he just loved it going FAST and it was the only way he’d fall asleep in it! We used something like this swingto help him sleep (I don’t see the exact one I used anymore — guess I’m officially old now). My friend has the Fisher-Price Ocean Wonders Aquarium Cradle Swing and loves it. They didn’t have that when I was shopping for one!

Important Note: Some say it might not be safe for a newborn to sleep in a car seat, so be cautious about that. Some say it’s just fine.

Unfortunately, some of these tips do create sleep associations, but during the first weeks, you really do what you can to survive. Obviously, it never hurts to try to put your baby down to sleep without any of these “tricks”, but as I’ve probably said a billion times already on this site, it just doesn’t work for all of us.

For more product and site recommendations, please view my baby sleep resources page.

For additional information on helping your child sleep, you may be interested in our free guide, 5 Ways to Help Your Baby Sleep Through the Night or our e-Book, Help Your Baby Sleep, a Detailed Guide.

Do you have any newborn baby sleep tips?

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Newborn Sleep Schedule and Patterns

Tuesday, June 17th, 2008

Many new parents want to know when their newborn will sleep on a schedule or what the baby’s sleep pattern will be. This post will outline the average newborn’s schedule and sleep patterns.

Newborn Day / Night Confusion

When your son or daughter was in mom’s womb, mom’s movements lulled baby to sleep and when mom rested, you may have noticed he or she perked up. Once she is born, she does not automatically know she is supposed to do precisely the opposite! It takes a few days to several weeks for this to be sorted out, but it will get sorted out. Of course, this is tiring for us, parents!

Newborn Sleep Patterns

When your baby is first born, he will sleep more than be awake. They sleep about 16 hours per day and wake time includes any feedings. As the weeks go by, they will be able to stay up longer, but still sleep 14-16 hours in a 24-hour period by one month of age. By 3 months old, the average amount of sleep in 24 hours is still 14 hours.

A newborn will also cry 1-2 hours per day (in total, not all at once, usually). This is normal. It is the only way she can communicate to tell us whether they are hungry, tired, uncomfortable, wet, etc. Unfortunately, some babies will develop colic (bouts of intense crying that’s difficult to soothe and the causes unknown) when they are just a few weeks old. The crying might last hours per day and colic usually ends around the 3 or 4 month mark, hopefully not longer.

Newborn Sleep Schedules

Depending on your baby’s sensitivity level to being overtired, a schedule may not form until after he is 6 months old or longer. My first son, who is the primary reason this site even exists, did not get “good” at a schedule until 7 1/2 months because he just could NOT stay up long enough without becoming so cranky.

Many parents desire a schedule much sooner, but if your baby is sensitive to overtiredness, you will only sabotage your own efforts because he will get overtired and fight sleep more, not less. This is one of the most misunderstood facts of a baby’s sleep needs, in my experience. Many people might tell you to keep your baby up such that he will sleep more at night and other advice like that (I heard a lot of it when my son was such a challenging sleeper!). Unfortunately, this will only lead to more and more sleep deprivation that will make him fight sleep more and thus lose more and more sleep until he’s one big overtired cranky mess. If that is what has brought you to this site today, try to keep wake times short and become in tune with when baby needs to sleep just as much as you are in tune with when he needs to eat and some of your problems may be resolved as simply as that.

Consistency

For some babies, they may be consistent from the very beginning while others remain inconsistent the rest of their lives. Depending on your personality, this can be very frustrating. If you get frustrated by your baby’s inconsistency, take a look within and ask yourself these questions:

  • Do I go to bed at the same exact time every night?
  • Do I wake up at the same time every morning?
  • Do I wake up to go to the bathroom at night at the same time?
  • Do I get hungry and eat meals at the same exact time every day?

If you answered no to any of those questions, you are likely realizing that your baby isn’t much different than maybe you are! If you answered yes to all of them and your baby does not follow suit, ask your partner or make sure you brought the right baby home. Kidding! I have no scientific basis for thinking this is a hereditary, just a hunch.

My first son was and still is highly inconsistent. Although I am too, it’s still hard to parent sometimes, especially given my “planning” personality. I used to log and track and track and log looking for patterns and all I found was that he had none. It took a long time, but I finally had to let it go and realize the only thing consistent about him would be that each day would be different. :) And, it was. Looking at myself and my own patterns helped me take the pressure off him to be the same every day. Regardless if your baby is consistent or not, the same sleep patterns generally emerge from all newborns. It still helped me a lot to track his sleep because it helped me know how many hours per day he’d typically sleep and I did start to see a pattern of when he’d wake in relation to dinner, not bedtime.

For more help on your newborn’s sleep, please see my post outlining 10 tips to help your newborn sleep.

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